go back

Complex Wound Repair, Scalp/Arm/Leg, Medium Size

Kentucky rates for HCPCS 13121

A provider closes a wound on the scalp, arm, or leg using a more involved, multi-layered repair technique rather than simple stitches, for a wound of a moderate size. This method may involve additional steps like extensive cleaning, removing damaged tissue, or reshaping the wound edges to achieve a better result. It's used when a wound is too complicated or contaminated for a basic closure.

Rates data updated July 2026.

How much does Complex Wound Repair, Scalp/Arm/Leg, Medium Size cost?

$398

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $2,630 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$372$288 to $479
FacilityA hospital or hospital-owned outpatient department$2,630$741 to $3,981

How much rates vary

Facilitymedian $2,630 · 10th to 90th $380 to $8,511Professionalmedian $372 · 10th to 90th $229 to $617
$200$500$1K$2K$5K$10Kfacility $2,630professional $372

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$549.54
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$389.05
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$575.44
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$446.68
CareSource
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$338.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$467.74
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$602.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$588.84

Where Kentucky sits

The same service costs 2.6 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kentucky· 40th of 51

$398

AK $933DC $363

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.